Concerns About Penis Size: Seeking Solutions for Personal Comfort - Urology

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Penile length issues?


Hello Doctor: I used the penile formula (height * 0.06 + 7.41) * 0.65 to calculate my erect penile length, which came out to be 11.7 cm, while my actual measurement is 10.7 cm.
I still feel it's too large (I often feel embarrassed when I see a bulge in my pants).
Is there a way to reduce its size, perhaps by 3 to 5 cm? If so, would it affect urination? I’m not concerned about sexual function, as I believe that’s not very important.
However, while most people want to increase size, I want to decrease it.
What psychological factors might be at play here? Thank you.

xuesheng, 20~29 year old female. Ask Date: 2019/08/18

Dr. Du Shixi reply Urology


Hello: It is possible for both large and small changes, but the surgery is not very common, and not all hospitals perform it.
Additionally, it will require out-of-pocket expenses, and you will need to bear the potential postoperative complications.
I suggest you accept your body, just like you accept your facial features and height.
As for any psychological concerns, they may just be temporary thoughts.
It might be best to wait; perhaps you will not care as much later.
Wishing you good health.

Reply Date: 2019/08/18

More Info


Concerns about penis size can be a source of anxiety for many individuals, and your feelings are valid. It's important to recognize that body image issues, including those related to genital size, can stem from various psychological and social factors. In your case, it seems that your discomfort with your penis size is causing you significant distress, which is not uncommon.
Firstly, let's address the desire to reduce penis size. There are very few medically recognized procedures aimed at reducing penis size, and most of them are not recommended due to potential complications. Surgical options, such as penile reduction surgery, do exist, but they carry risks, including infection, scarring, and changes in sexual function. Additionally, such procedures are not commonly performed and are often considered only in extreme cases.
It's also crucial to understand that the average erect penis size is around 12 to 16 cm (approximately 4.7 to 6.3 inches), and your measurement of 10.7 cm (about 4.2 inches) is within the normal range. Many men experience anxiety about their size due to societal pressures, unrealistic portrayals in media, and peer comparisons. This can lead to feelings of inadequacy or embarrassment, as you mentioned regarding the visibility of your penis through clothing.

Your discomfort with your size may also be linked to psychological factors. Some individuals may have a condition known as "body dysmorphic disorder," where they perceive their body in a distorted way, leading to excessive concern about specific features. In your case, the focus on wanting to reduce size could be a manifestation of this disorder or simply a strong personal preference influenced by your self-image and societal expectations.

To address your concerns, consider the following steps:
1. Consult a Mental Health Professional: Speaking with a psychologist or counselor can help you explore the underlying reasons for your discomfort with your body. They can provide strategies to improve your body image and self-esteem.

2. Educate Yourself: Understanding the normal variations in body size and shape can help alleviate some of your concerns. Many men share similar feelings, and recognizing that you are not alone can be comforting.

3. Focus on Functionality: While you mentioned that sexual function is not a priority for you, it’s essential to consider the overall health and functionality of your body. Engaging in open discussions about sexual health with a healthcare provider can provide reassurance and clarity.

4. Mindfulness and Acceptance: Practicing mindfulness can help you become more comfortable with your body as it is. Techniques such as meditation and positive affirmations can foster a more accepting attitude toward yourself.

5. Support Groups: Joining a support group where you can share your feelings and experiences with others who have similar concerns can be beneficial. This can provide a sense of community and understanding.

In conclusion, while the desire to change your body is understandable, it’s essential to approach this issue with caution and seek professional guidance. The focus should be on improving your self-image and finding comfort in your body as it is, rather than pursuing potentially harmful procedures. Remember, your worth is not defined by any single aspect of your physical appearance, and embracing who you are can lead to a more fulfilling life.

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